Foundations of Nursing in the Community, 3rd Edition Stanhope, Lancaster
Foundations of Nursing in the Community, 3rd Edition Stanhope, Lancaster
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Chapter 17: Managing Quality
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Consumers believe American health care is high-quality and the best in the world. |
| b. | Every hospital and health care agency has its own approach to data collection and documentation. |
| c. | Finances are the basis of clinical decisions, not quality of care. |
| d. | We all agree on what quality is but not on how best to measure it. |
ANS: B
Very little is known about quality of care in this country because a variety of definitions of quality are used and it is difficult to get comparable data from health care providers and agencies. Based on international comparisons, health care in the United States does not have the best statistics related to outcomes.
DIF: Cognitive Level: Knowledge REF: p. 294
| a. | “If your employees are off ill, who will do the work in your factory?” |
| b. | “You might catch a contagious disease from one of your employees.” |
| c. | “You have a moral obligation to help those less fortunate.” |
| d. | “Your personal insurance and tax costs will go up if your employees have to use community resources when they’re ill.” |
ANS: D
Since the speaker’s primary concern is apparently money, a persuasive response must show that the factory owner will lose money if he doesn’t support the health of others in the community.
DIF: Cognitive Level: Application REF: p. 295
| a. | Customer satisfaction is assessed through the use of surveys provided to the client after each appointment. |
| b. | The health maintenance organization (HMO) provides incentives to personnel who complete in-house programs on customer service. |
| c. | The institution has received accreditation through The Joint Commission. |
| d. | The total quality improvement (TQI) team meets to examine how to make the registration process more efficient. |
ANS: C
General approaches to quality improvement seek to protect the public by ensuring a level of competency among health care professionals. Examples are credentialing, licensure, accreditation, certification, charter, recognition, and academic degrees.
DIF: Cognitive Level: Knowledge REF: p. 297
| a. | A very famous movie and television star died as the result of a medical error. |
| b. | The number of malpractice claims had increased. |
| c. | Media such as films highlighted the reality of current medical care. |
| d. | Publicity about a few unfortunate cases caused consumers to become concerned. |
ANS: B
In response to a growing number of malpractice claims in the United States, the National Health Quality Improvement Act of 1986 was established, which encouraged consumers to become informed about their practitioner’s practice record and created a national clearinghouse of information on provider malpractice records.
DIF: Cognitive Level: Knowledge REF: p. 296
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